1. Create a comprehensive clinical measures data dictionary consistent with national standards for EMS services, ensuring that all metrics are relevant, measurable, and applicable to Vermont’s EMS system. 2. A statewide scan of emergency and non-emergency services provided by all licensed first response and ambulance services, including the identification and assessment of any gaps in service provision and overlapping service areas. 3. A statewide examination of the EMS workforce to include an assessment of wages and benefits for EMS workers, EMS worker supply and demand projections; a route cause analysis of workforce turnover; a statewide scan of mental health resources available to EMS workers. 4. A statewide examination of the EMS education system to include the availability of EMS courses by certification type, location, frequency, and cost; geographical distribution of EMS Instructor Coordinators; identification of pre-hospital and hospital clinical rotation sites; an analysis of the cost of EMS education. 5. A statewide examination of EMS response reliability; a performance evaluation to high consequence incidents such as cardiac arrest, stroke, and major hemorrhage; a service-by-service mutual aid given and received analysis; an analysis of the reliability of EMS resources to provide interfacility transport services by hospital catchment area; identify and document any gaps in EMS services across Vermont. 6. The gathering of revenue and expenditure data for all statewide first response and ambulance services including itemized breakdown of all federal, state, and municipal appropriations and revenue sources; contracts for EMS services; current and projected budget documents for all first response and ambulance services. 7. Compilation of a summary report to be reviewed and accepted by the EMS Advisory Committee (EMSAC). 8. Compilation of all raw data to be delivered to, reviewed, and accepted by the EMS Advisory Committee (EMSAC).